Hospital Costs > In Virginia > Carilion Tazewell Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 12 | 177 / 50 | $14.382,40 | 777 / 23 | $5.473,75 | 1444 / 29 | $4.666,33 | 1437 / 58 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 55 | $14.083,40 | 632 / 18 | $5.174,55 | 386 / 45 | $3.316,91 | 384 / 20 |
| Heart Failure & Shock W Mcc | 14 | 270 / 59 | $23.282,40 | 613 / 23 | $9.725,36 | 1367 / 47 | $8.826,00 | 1364 / 57 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 55 | $12.175,40 | 534 / 12 | $5.103,67 | 354 / 35 | $3.496,42 | 354 / 12 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 50 | $20.081,50 | 406 / 15 | $7.877,80 | 1064 / 35 | $7.036,27 | 1062 / 52 |
| Renal Failure W Mcc | 12 | 183 / 47 | $22.611,70 | 347 / 16 | $9.867,42 | 1089 / 34 | $9.100,42 | 1089 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 66 | $21.107,90 | 312 / 5 | $11.727,00 | 1398 / 37 | $10.841,30 | 1371 / 53 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 49 | $20.005,40 | 1134 / 35 | $6.293,27 | 1521 / 32 | $5.535,64 | 1515 / 59 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 53 | $24.948,20 | 696 / 26 | $9.369,29 | 1294 / 45 | $8.301,41 | 1294 / 54 | Total 9 procedures | 127 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.